Organization
FAIRFAX HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA REYES (ADMINISTRATOR)
(703) 546-8555
Entity
Organization
Contact information
Practice address
171 ELDEN ST STE 3A1, HERNDON, VA 20170-4976
(571) 315-7333
(855) 255-0578
Mailing address
171 ELDEN ST STE 3A1, HERNDON, VA 20170-4976
(571) 315-7333
(855) 255-0578
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
11/03/2021
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